Active NPI
Archive Properties, Inc.
- Customized Equipment (DME)
- Plant City, FL
National Provider Identifier
1811223183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- CRC057243
- Legal business name
- ARCHIVE PROPERTIES, INC.
- Practice address
- 6322 Barton Rd
Plant City, FL 33565-4824 - Phone
- (813) 478-1183
- Fax
- (813) 986-1254
- NPI assigned
- Oct 21, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Devon B Higginbotham
- Title
- President
- Phone
- (813) 478-1183
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | CRC057243 | FL | Primary |
Addresses
Primary practice location
6322 Barton Rd
Plant City, FL 33565-4824
Mailing address
6322 Barton Rd
Plant City, FL 33565-4824
Phone (813) 478-1183
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 693629696 | Medicaid | FL | |
| 693629698 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1256083200000",
"number": "1811223183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6322 BARTON RD",
"city": "PLANT CITY",
"state": "FL",
"postal_code": "335654824",
"telephone_number": "813-478-1183",
"fax_number": "813-986-1254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6322 BARTON RD",
"city": "PLANT CITY",
"state": "FL",
"postal_code": "335654824",
"telephone_number": "813-478-1183",
"fax_number": "813-986-1254"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARCHIVE PROPERTIES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-21",
"last_updated": "2009-10-21",
"status": "A",
"authorized_official_last_name": "HIGGINBOTHAM",
"authorized_official_first_name": "DEVON",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "813-478-1183",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "FL",
"license": "CRC057243",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "693629696",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "693629698",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plant City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.